DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bass, Michael	DOIID	972878	NAIC NPN	18556705

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/9/2024		8/31/2026
Inactive	Non Resident	Agent	Personal Lines	10/13/2017	5/28/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/12/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2024
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	10/19/2017	5/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Personal Lines	10/24/2017	5/28/2019